Adult Health III- HESI
Pulseless electrical activity - caused by: H and Ts
Hs: hypoxia, hypovolemia, hyperkalemia, hypokalemia, hydrogen acidosis, hypothermia
T: Toxins, tension pneumothorax, thrombosis, tamonade, trauma
Patient: 55 year old male presents to the ED unresponsive following an MVA. Fire rescues reports a GCS
of 11 and profuse bleeding from the right femoral. An ECG is placed on the patient detecting tachycardia
that is NSR. Patient is unresponsive and turning cyanotic. What might be the cause of this incident and
what might be the underlying cause of the current cardiac condtion - Patient most likely has PEA
Patient has experienced trauma, hypovolemia and because of injury might be hyperkalemic
Treatment for PEA - Administer CPR
You must find the underlying cause. Failure to do so results in poor outcome
When do you administer AED - Vtach/ Vfib
What is the protocol for VTach/ VFib - you would first shock, the CPR for 2 minutes with 30 second
intervals of CPR and rescue breathing
When would you use d-fibrillation - v-fib (vfib = defib
Difference between an AV graft and an AV fistula - AV graft is anastomosis of a vein and an artery with
synthetic tubing
AV fistula is surgical anastomosis with artery and vein
Dietary considerations with chronic kidney disease and/or end stage kidney failure - consume high
quality protein
goal is to keep intradilayectic weight below 1.5kg
what is priority nursing diagnosis 24 hours post kidney transplant - vitals
then urine output to be measured hourly
Pulseless electrical activity - caused by: H and Ts
Hs: hypoxia, hypovolemia, hyperkalemia, hypokalemia, hydrogen acidosis, hypothermia
T: Toxins, tension pneumothorax, thrombosis, tamonade, trauma
Patient: 55 year old male presents to the ED unresponsive following an MVA. Fire rescues reports a GCS
of 11 and profuse bleeding from the right femoral. An ECG is placed on the patient detecting tachycardia
that is NSR. Patient is unresponsive and turning cyanotic. What might be the cause of this incident and
what might be the underlying cause of the current cardiac condtion - Patient most likely has PEA
Patient has experienced trauma, hypovolemia and because of injury might be hyperkalemic
Treatment for PEA - Administer CPR
You must find the underlying cause. Failure to do so results in poor outcome
When do you administer AED - Vtach/ Vfib
What is the protocol for VTach/ VFib - you would first shock, the CPR for 2 minutes with 30 second
intervals of CPR and rescue breathing
When would you use d-fibrillation - v-fib (vfib = defib
Difference between an AV graft and an AV fistula - AV graft is anastomosis of a vein and an artery with
synthetic tubing
AV fistula is surgical anastomosis with artery and vein
Dietary considerations with chronic kidney disease and/or end stage kidney failure - consume high
quality protein
goal is to keep intradilayectic weight below 1.5kg
what is priority nursing diagnosis 24 hours post kidney transplant - vitals
then urine output to be measured hourly
